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Well-Child Checkup, School Age

Colorado rates for HCPCS 99393

This is a preventive checkup for an established school-age child, focused on tracking growth and development and catching potential health concerns early. It typically includes a physical exam, developmental and behavioral screening, and vaccine updates as needed. It's not used to treat a specific illness or new health complaint.

Rates data updated July 2026.

How much does Well-Child Checkup, School Age cost?

$95.50

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$74.13 to $126
FacilityA hospital or hospital-owned outpatient department$100$75.86 to $129

How much rates vary

Facilitymedian $100 · 10th to 90th $42 to $170Professionalmedian $95 · 10th to 90th $63 to $204
$20$50$100$200$500facility $100professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$19.50
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$194.98
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$213.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$141.25
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$186.21

Where Colorado sits

The same service costs 2.2 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 29th of 51

$95.50

MN $182DE $83.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.